Individual
BRIDGET RENE SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6333
(937) 878-8444
Mailing address
760 BAY BROOKE CT, VANDALIA, OH 45377-1515
(303) 301-5871
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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